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Individual
EMILY GARDNER
Active
Individual
EMILY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6851115180
MI
1041C0700X
Clinical Social Worker
Primary
6801120963
MI
Other
Enumeration date
02/22/2023
Last updated
11/04/2025
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